Synchronous contra lateral transitional cell carcinoma [TCC] of the kidney and bladder

Synchronous upper urinary tract tumor and superficial bladder tumor are uncommon. This is a report of a 62- year- old man presented with episode of painless gross hematuria and flank pain. We worked him up and found a left renal mass and bladder lesion. He underwent nephrectomy and TUR-BT, and the pathology report of both showed a high grade urothelial transitional cell carcinoma. The patient was followed by surveillance protocol for ureter stump. Our report included an uncommon case of high grade synchronous upper urinary tract and bladder transitional cell carcinoma